Form preview

Get the free NPI Information Form - 2/6/07

Get Form
National Provider Identifier (NPI) Information Form (Please type or legibly print the requested information) Provider name Provider email address Other email address (e.g., office manager) Current/active
We are not affiliated with any brand or entity on this form
4,4
98,753 Reviews
4,5
11,210 Reviews
4,6
715 Reviews
4,6
789 Reviews

Get, Create, Make and Sign npi information form

Edit
Edit your npi information form form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your npi information form form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing npi information form online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit npi information form. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
It's easier to work with documents with pdfFiller than you can have believed. You may try it out for yourself by signing up for an account.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
Learn more about security & compliance
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out npi information form

Illustration

How to fill out npi information form

01
To fill out the NPI information form, follow these steps: 1. Start by gathering all the required information, such as your personal details, business details, and contact information. 2. Visit the official NPI registry website. 3. Click on the 'Create an Account' or 'New User Registration' option. 4. Provide your basic information, including your full name, email address, and phone number. 5. Set up a username and password for your NPI account. 6. Verify your email address by clicking on the link sent to you. 7. Log in to your NPI account using your credentials. 8. Select the appropriate NPI application, such as the 'Individual Provider' or 'Organization' option. 9. Provide all the necessary details required in the form, such as your name, address, phone number, taxonomy code, and specialty. 10. Review the information filled in the form for accuracy and completeness. 11. Submit the NPI information form. 12. Wait for the confirmation email or letter from the NPI registry regarding the status of your application.

Who needs npi information form?

01
Various healthcare providers and organizations need to fill out the NPI information form, including but not limited to: 1. Physicians and surgeons 2. Dentists 3. Chiropractors 4. Physical therapists 5. Mental health providers 6. Hospitals and healthcare facilities 7. Medical billing companies 8. Pharmacies 9. Laboratories 10. Health insurance companies 11. Home healthcare agencies 12. Nursing homes 13. Medical supply providers 14. Ambulance services 15. Occupational therapists Anyone involved in the healthcare industry who is required to bill and receive payments electronically must have an NPI number and therefore needs to fill out the NPI information form.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.2
Satisfied
49 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

When you're ready to share your npi information form, you can send it to other people and get the eSigned document back just as quickly. Share your PDF by email, fax, text message, or USPS mail. You can also notarize your PDF on the web. You don't have to leave your account to do this.
The premium version of pdfFiller gives you access to a huge library of fillable forms (more than 25 million fillable templates). You can download, fill out, print, and sign them all. State-specific npi information form and other forms will be easy to find in the library. Find the template you need and use advanced editing tools to make it your own.
Yes, you can. With the pdfFiller mobile app, you can instantly edit, share, and sign npi information form on your iOS device. Get it at the Apple Store and install it in seconds. The application is free, but you will have to create an account to purchase a subscription or activate a free trial.
The NPI information form is a form used to gather information about healthcare providers and assign them a unique National Provider Identifier (NPI).
All healthcare providers, including individuals and organizations, who meet the definition of a covered entity under HIPAA regulations are required to file an NPI information form.
The NPI information form can be filled out online through the National Plan and Provider Enumeration System (NPPES) website. Providers must enter their personal and practice information accurately.
The purpose of the NPI information form is to streamline electronic transactions in the healthcare industry and improve the efficiency of claims processing and provider identification.
The NPI information form requires providers to report their personal identifying information, practice location details, taxonomy codes, and other relevant information.
Fill out your npi information form online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview

Npi Information Form is not the form you're looking for?Search for another form here.

Related Features

Strike Flag in the Veterinary Surgical Consent with ease
Cut Space in the Commercialization Agreement with ease
Cut Space in the Guaranty Agreement with ease
Cut Space in the Mobile App Design Proposal Template with ease
Cut Space in the Theatre Press Release with ease

Relevant keywords

npi hmsa efio nppes legibly hippa ps07 008a identifier interchange attest healthcare specified documentation provider

Related Forms

Form preview
zapier pdffiller
Pto/sb/29 (08-08) approved for use through 06/30/2010. omb 0651-0032 u.s. patent and trademark office; u.s.
Fill Now
Form preview
suing
United states patent and trademark office commissioner for patents united states patent and trademark office
Fill Now
Form preview
form imm 5406
Pto/sb/94 (02-09) approved for use through 02/29/2012. omb 0651-0036 u.s. patent and trademark office; u.s.
Fill Now
Form preview
uspto customer number lookup
Pto/sb/125a (11-08) approved for use through 11/30/2011. omb 0651-0035 u.s. patent and trademark office, u.s.
Fill Now
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.